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NPI Code Detail

MEDICARE: RCOA-ADVENTIST HEALTH, LLC

MEDICARE: RCOA-ADVENTIST HEALTH, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0208XMobile Radiology Clinic/Center6838-17CA

General Provider Information

NPI Number : 1336194497
Entity Type Code : Organization
Provider Name (Legal Business Name) : RCOA-ADVENTIST HEALTH, LLC
Provider Business Mailing Address
First Line : P. O. BOX 85001
Second Line :
City : ORLANDO
State : FL
Zip : 32885-0001
Country : US
Telephone Number : 866-293-3500
Fax Number : 866-293-3535
Provider Business Practice Location Address
First Line : 10 WOODLAND RD
Second Line :
City : SAINT HELENA
State : CA
Zip : 94574-9554
Country : US
Telephone Number : 866-293-3500
Fax Number : 866-293-3535
Authorized Official
Title or Position : CHAIRMAN & CEO
Name : MR. ALLEN MCGEE
Credential :
Telephone Number : 561-477-3500
Provider Enumeration Date : 05/24/2006
Last Update Date : 08/13/2008

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Directions to “RCOA-ADVENTIST HEALTH, LLC ” Practice Location

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